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STATE OF COLORADO REC~'vED <br />MINED LAND RECLAMATION BOARD <br />JUL 18 2001 <br />PARTY STATUS FORM <br />t]iuision of Minerals and Geology <br />In the matter of File No. M-aLhl -_~/i~i} , PermitJPermit Amendment Application. <br />Name of Operator/Applicant and Site: rll,}Q{~~ f~ir~-l-Ctr~ CtNt~+ita~e ~_mrnAOa~..,~ <br />I request that I be named as a party <br />I request that I not be named as a party <br />_ I understand that I have party status <br />_ I request I be withdrawn from party status <br />I wish to address the Board at the formal <br />hearing, if held, as a non-party <br />(Please note that if all objecting parties withdraw rip or to the date set For the Division's recommendation for <br />approval or denial, there may not be an opportunity for any person to address the Board on any issues related <br />to the application. If all objecting parties withdraw their objection after the above referenced date, the Board <br />may still hold a formal hearing, however the Board is not obligated to consider any issues raised by a party that <br />has withdrawn) <br />Regardless of a party status, the Division thoughtfully considers each issue submitted in writing to the Division and <br />provides a response to those issues in the Division's "Rationale For Recommendation ". The "Rationale" is available to <br />.any person by contacting the Division. For persons who do not wish to become a party or withdraw as a party in this <br />matter, please contact the Division for information on application status. <br />(Please provide the following information if you have or wish to have party status, thank you.) <br />~' ~~ t~l-F ('l t'cz_ f a t- ~~ (_~) 7 ~5 (Q 0 3 ~f <br />Printed Name Home Phone # <br />k~ a3 y wc~~ ~~ <br />Address <br />(~t?~) 7~5 Gb3y <br />Work Phone # <br />City, State Zip Code FAX # <br />c~tr 1<e1~ @ s~.ce Gt.,~l(-~~m, . ~ t~ ~~.P~~/~ 2©0 <br />E-Mail Address, ,_ Dati*' ~ <br />Signature <br />If you are not now a party and you wish to be named as a party, please provide the fo]lowing: <br />• How you may be affected or aggrieved by the Board's decision if the Board decides to approve the app]ica[ion. <br />(Please attach additional pages if needed) <br />Please explain your opposition to the matter, including a specific description of [he issues that you fee] need to be <br />addressed at the FotTrtal Boad Hearing and why. ~~atk4o Sao f-1 cz G c2 Oa_~(P.v~ <br />G~a~ C cQ 1 ~v . 7s~ I <br />(Please attach additional pages if needed) <br />